Coproduction and health: Public and clinicians’ perceptions of the barriers and facilitators

Daniella M. Holland-Hart, Samia M. Addis, Adrian Edwards, Joyce E. Kenkre, Fiona Wood

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Coproduction is an approach increasingly recognized across public services internationally. However, awareness of the term and the barriers and facilitators to its implementation in the NHS are not widely understood. This study examines clinician and public perceptions of coproduction within the context of the Prudent Healthcare initiative.

To provide insights into how coproduction is viewed by clinicians and the public and identify perceived barriers and facilitators to its implementation.

Using qualitative research methods, interviews were conducted with the public (n = 40) and clinicians (n = 40). Five focus groups were also conducted with the public (n = 45) and six focus groups with clinicians (n = 26). The COM‐B model was used to analyse the data; key domains include Capability, Opportunity and Motivation.

This is an all‐Wales study, involving six Health Boards, an NHS trust and community and patient groups.

Key barriers relating to Capability include lack of awareness of the term coproduction and inadequate communication between clinicians and citizens. Opportunity‐centred barriers include service and time constraints. Conversely, facilitators included utilizing partnerships with community organizations. Motivation‐related barriers included preconceptions about patients’ limitations to coproduce.

There were broadly positive perceptions among participants regarding coproduction, despite initial unfamiliarity with the term. Despite study limitations including underrepresentation of employed public participants and junior doctors, our analysis may assist researchers and policymakers who are designing, implementing and evaluating interventions to promote coproduction.
Original languageEnglish
Pages (from-to)93-101
JournalHealth Expectations: An International Journal of Public Participation in Health Care and Health Policy
Issue number1
Publication statusPublished - 1 Feb 2019


  • Coproduction
  • NHS
  • Prudent Healthcare Initiative
  • Wales
  • qualitative research


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